Safety and Immunogenicity Study of a Candidate Tuberculosis Vaccine in Healthy Infants

Tuberculosis Clinical Trial

Official title:

Safety and Immunogenicity Study of GSK Biologicals' Candidate Tuberculosis Vaccine (692342) When Administered to Healthy Infants

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01098474
• Other study ID #: 112899
• Secondary ID: 2012-004380-44
• Status: Completed
• Phase: Phase 2
• Start date: July 7, 2010
• Est. completion date: March 16, 2012

Study information

• Verified date: June 2019
• Source: GlaxoSmithKline
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This purpose of the study is to assess the safety and immunogenicity of a GSK Biologicals' candidate tuberculosis vaccine (692342) when administered concomitantly with or after the Expanded Programme of Immunisation vaccines regimen to healthy infants aged between and including 2 and 7 months, living in a tuberculosis endemic region.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 301
• Est. completion date: March 16, 2012
• Est. primary completion date: April 30, 2011
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 2 Months to 7 Months

Eligibility

Inclusion Criteria:

• Male and female subjects who the investigator believes that their parent(s)/ Legally Acceptable Representative (LAR(s)) can and will comply with the requirements of the protocol.

• Written or oral, signed or thumb-printed and witnessed informed consent obtained from the subject's parent(s)/LAR(s).

• Subjects who received their birth dose of Bacille Calmette Guerrin.

• Healthy subjects as established by medical history and clinical examination before entering into the study.

For the 'Outside Expanded Programme on Immunisation' cohort:

• Must have documented evidence that he/she has completed the primary Expanded Programme on Immunisation regimen at least 1 month prior to planned vaccination with investigational vaccination regimen.

• Aged between 5 and 7 months at the time of the first study vaccination.

For the 'Within EPI' cohort:

• Must have received the birth dose of Bacille Calmette Guerrin, oral polio vaccine and Hepatitis B vaccine but NO further Expanded Programme on Immunisation vaccines.

• Aged between 2 and 4 months at the time of the first study vaccination with diphtheria, tetanus, whole cell pertussis/ Haemophilus influenzae type b vaccine + pneumococcal conjugate vaccine + oral polio vaccine.

Exclusion Criteria:

• Child in care

• Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal abnormality, as determined by physical examination and/or laboratory screening tests.

• Laboratory screening tests out of range, which in the investigator's opinion affects the ability of the child to take part in the study.

• Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.

• A family history of congenital or hereditary immunodeficiency.

• Major congenital defects.

• History of any neurological disorders or seizures.

• Any condition or illness or medication, which in the opinion of the investigator might interfere with the evaluation of the safety or immunogenicity of the study vaccine.

• Any other findings that the investigator feels would increase the risk of having an adverse outcome from participation in the trial.

• Acute disease and/or fever at the time of enrolment.

• Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.

• For the 'Within Expanded Programme on Immunisation' Cohort only: Previous vaccination with diphtheria, tetanus, pertussis, Haemophilus influenzae type b and pneumococcal conjugate vaccine.

• History of previous administration of experimental Mycobacterium tuberculosis vaccines.

• Administration of immunoglobulins, blood transfusions and/or other blood products since birth to the first dose of study vaccine or planned administration during the study period.

• Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.

• Planned participation or concurrently participating in another clinical study at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product.

• Any chronic drug therapy to be continued during the study period, with the exception of vitamins and/or dietary supplements

• History of allergic reactions or anaphylaxis to any vaccine.

• History of any reaction or hypersensitivity likely to be exacerbated by any component of the study vaccines.

• Severe malnutrition at screening defined as weight-for-age Z-score < -3 standard deviation.

• Children will not be enrolled if any maternal, obstetrical or neonatal event that has occurred might, in the judgment of the investigator, result in increased neonatal/infant morbidity.

Related Conditions & MeSH terms

• Tuberculosis

Intervention

Biological:
• GSK's investigational vaccine 692342
Intramuscular, 1 or 2 doses
• Tritanrix™ HB+Hib
Intramuscular, 3 doses
• Prevnar™
Intramuscular, 3 doses
• Polio Sabin™
Oral, 3 doses
• Menjugate™
Intramuscular, 3 doses

Locations

Country	Name	City	State
Gambia	GSK Investigational Site	Banjul

Sponsors (2)

Lead Sponsor	Collaborator
GlaxoSmithKline	Aeras

Country where clinical trial is conducted

Gambia, 

References & Publications (1)

Idoko OT, Owolabi OA, Owiafe PK, Moris P, Odutola A, Bollaerts A, Ogundare E, Jongert E, Demoitié MA, Ofori-Anyinam O, Ota MO. Safety and immunogenicity of the M72/AS01 candidate tuberculosis vaccine when given as a booster to BCG in Gambian infants: an open-label randomized controlled trial. Tuberculosis (Edinb). 2014 Dec;94(6):564-78. doi: 10.1016/j.tube.2014.07.001. Epub 2014 Aug 9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Subjects With Grade 3 Solicited Local Symptoms After Dose 1, Dose 2 and Across Doses	Solicited local symptoms assessed were pain, redness and swelling. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site.	From Day 0 to Day 6
Primary	Number of Subjects With Grade 3 Solicited Local Symptoms After Dose 2, Dose 3 and Across Doses.	Solicited local symptoms were only collected after Dose 2 of EPI vaccination. Solicited local symptoms assessed were pain, redness and swelling. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site.	From Day 0 to Day 6
Primary	Number of Subjects With Grade 3 Solicited General Symptoms After Dose 1, Dose 2 and Across Doses.	Solicited general symptoms assessed were drowsiness, fever [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)], irritability/fussiness and loss of appetite. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.0 °C.	From Day 0 to Day 6
Primary	Number of Subjects With Grade 3 Solicited General Symptoms After Dose 2, Dose 3 and Across Doses.	Solicited general symptoms were only collected after Dose 2 of EPI vaccination. Solicited general symptoms assessed were drowsiness, fever [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)], irritability/fussiness and loss of appetite. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.0 °C.	From Day 0 to Day 6
Primary	Number of Subjects With Grade 3 Unsolicited Adverse Events (AEs)	An unsolicited adverse event is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.	From Day 0 to Day 29
Primary	Number of Subjects With Serious Adverse Events (SAEs)	Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.	From Month 0 to Month 17
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 grams per deciliter (g/dL); WBC.: 1.0 to 1.4 x 10³/micro liter (µL); PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x upper limit of normal (ULN) and CREA: 3.1 to 6.0 x ULN.	At Day 0
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Day 7
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Day 37
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Day 67
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 1
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 2
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 3
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA).Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 6
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 7
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	Six Months post Dose 3 [At Month 13]
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 12
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	Twelve Months post Dose 2 [At Month 13]
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 14
Primary	Number of Subjects With Grade 3 Haematological and Biochemical Levels	Haematological/Biochemical parameters assessed were: Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA). Grade 3 = Haem.: < 5.0 g/dL; WBC.: 1.0 to 1.4 x 10³/µL; PLA.: < 25x10³/µL; ALA.: 5.1 to 10.0 x ULN and CREA: 3.1 to 6.0 x ULN.	At Month 8
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)4+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2),Interferon-gamma (INF-?),Tumour necrosis factor-alpha (TNF-a) and CD40-ligand (CD40-L).	Before vaccination (PRE)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)4+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	Seven Days post each dose (D7)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)4+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	One Month post each dose (M1)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)4+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	Six Months post each dose (M6)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)4+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	Twelve Months post each dose (M12)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)8+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	Before vaccination (PRE)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)8+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	Seven Days after each dose (D7)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)8+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	One Month after each dose (M1)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)8+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	Six Months after each dose (M6)
Secondary	Frequency of M. Tuberculosis Fusion Protein M72 (M72)-Specific Cluster of Differentiation (CD)8+ T Cells Per Million Cells Expressing at Least Two Different Immune Markers	Immune markers expressed were among Interleukin-2 (IL-2) and/or Interferon-gamma (INF-?) and/or Tumour necrosis factor-alpha (TNF-a) and/or CD40-ligand (CD40-L).	Twelve Months after each dose (M12)
Secondary	Number of Seropositive Subjects Against M72 Antigen	A seropositive subject was a subject whose M72 antibody concentration was greater than or equal to 2.8 ELISA units per millilitre (EL.U/mL).	Before vaccination (PRE) and after each dose [at 1, 6 and 12 months post-vaccination (M1, M6 and M12)]
Secondary	Concentration of Antibodies Against M72 Antigen	Concentrations given in EL.U/mL were expressed as Geometric Mean Concentrations (GMCs).	Before vaccination (PRE) and after each dose [at 1, 6 and 12 months post-vaccination (M1, M6 and M12)]
Secondary	Number of Seroprotected Subjects Against Diphtheria Toxoid (Anti-D) and Tetanus Toxoid (Anti-T)	A seroprotected subject was a subject whose anti-diphtheria toxoid (anti-D)/anti-tetanus toxoid (anti-T) antibody concentration was = 0.1 international-units per millilitre (IU/mL).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Anti-D, Anti-T Antibody Concentrations	Concentrations given in IU/mL, were expressed as Geometric Mean Concentrations (GMCs).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Seroprotected Subjects Against Haemophilus Influenzae Type B (Anti-PRP)	A seroprotected subject was a subject whose anti-PRP antibody concentration was = 0.15 micrograms per millilitre (µg/mL).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Anti-PRP Antibody Concentrations	Concentrations given in µg/mL were expressed as Geometric Mean Concentrations (GMCs).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Seropositive Subjects Against Bordetella Pertussis (Anti-BPT)	A seropositive subject was a subject whose anti-BPT antibody concentration was = 15 EL.U/mL.	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Anti-BPT Antibody Concentrations	Concentrations given in EL.U/mL were expressed as Geometric Mean Concentrations (GMCs).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Seropositive Subjects Against Hepatitis B (Anti-HB)	A seropositive subject was a subject whose anti-HB antibody concentration was = 10 milli-international units per millilitre (mIU/mL).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Seropositive Subjects Against Hepatitis B (Anti-HB) With Antibody Concentrations =100mIU/mL	A decrease in the specificity of the anti-HB ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Following from this, the table shows data with titers = 100 mIU/mL.	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Anti-HB Antibody Concentrations	Concentrations given in mIU/mL were expressed as Geometric Mean Concentrations (GMCs).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Seropositive Subjects Against Polio (Anti-Polio1, Anti-Polio2, Anti-Polio3)	A seropositive subject was a subject whose anti-polio antibody titer was = 1:8.	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Anti-Polio1, Anti-Polio2, Anti-Polio3 Antibody Titers	Concentrations given in titers were expressed as Geometric Mean Titers (GMTs).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Seropositive Subjects Against Streptococcus Pneumoniae (Anti-4, Anti-6B, Anti-9V, Anti-14, Anti-18C, Anti-19F, Anti-23F)	A seropositive subject was a subject whose anti-S pneumoniae antibody concentration was = 0.05 µg/mL.	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Subjects With S. Pneumoniae Antibody Concentrations = 0.2 Microgram/Milliliter	A seroconverted subject is a vaccinated subject with at least a four fold increased antibody titer post vaccination.	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Anti-4, Anti-6B, Anti-9V, Anti-14, Anti-18C, Anti-19F, Anti-23F Antibody Concentrations	Concentrations, given in µg/mL, were expressed as Geometric Mean Concentrations (GMCs).	Before vaccination (PRE) and 1 Month post Dose 3 [PIII(M3)]
Secondary	Number of Subjects With Serious Adverse Events (SAEs)	Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.	From Day 0 up to 12 months post last vaccination
Secondary	Number of Subjects With Normal, Grade 1 (G1), Grade 2 (G2) or Grade 4 (G4) Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, G1, G2 and G4 . Values that did not fall under normal levels or assessed grades were missing.	Before vaccination (PRE)
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were : normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Seven days post Dose 1 [PI(D7)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Seven days post Dose 2 [PII(D37)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Seven days post Dose 3 [PIII(D67)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	One Month post Dose 1 [PI(M1)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	One Month post Dose 2 [PII(M2)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	One Month post Dose 3 [PIII(M3)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were : normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Six Months post Dose 1 [PI(M6)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Six Months post Dose 2 [PII(M7)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Six Months post Dose 3 [PIII(M8)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Six Months post Dose 3 [PIII(M13)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Twelve Months post Dose 1 [PI(M12)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Twelve Months post Dose 2 [PII(M13)]
Secondary	Number of Subjects With Normal, G1, G2, or G4 Haematological and Biochemical Markers	Levels assessed for Haemoglobin (Haem), White Blood Cells (WBC), Platelets (PLA), Alanine Aminotransferase (ALA) and Creatinine (CREA) were: normal, grade 1 (G1), grade 2 (G2) and grade 4 (G4). Values that did not fall under normal levels or assessed grades were missing.	Twelve Months post Dose 3 [PIII(M14)]